Individual
DORI DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6 COLLEGE ST., DUE WEST, SC 29639
(864) 379-2345
Mailing address
P.O. BOX 638, 6 COLLEGE ST., DUE WEST, SC 29639
(864) 379-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1933
SC
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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